| NPI | 1255325163 |
|---|---|
| Former Name | LAURA CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3302P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1082803) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-08-02 |